HF Trust Bedfordshire

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question Good. At this assessment the rating has remained Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

People’s needs, preferences and choices were assessed prior to them receiving support and treatment. The provider carried out an assessment with people and their relatives to ensure they could meet their needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
 

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. A relative told us, “There was an assessment and transition process before [family member] went to live in their flat. It was good being able to take slow steps before they moved in. It helped us to make sure it was the right place.”

The management team told us how they involved people in the assessment process before they moved into the service. Wherever possible, people were encouraged to visit the service to help them decide if it was suitable to meet their needs.

Feedback from health and social care professionals was positive about the assessment and transition process.

An assessment of people’s needs was completed before they went to live at the service, and these were used as a foundation for people’s plan of care.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Consent was obtained from people in relation to different aspects of their care and there were no restrictions in place for people.

Staff told us, and records confirmed they received Mental Capacity Act (MCA) training as part of their individual training schedule. The staff demonstrated they fully understood and practiced the MCA principles. One staff member commented, “I have had training around the Mental Capacity Act, and I know we all respect people’s choices.”

Records confirmed staff received training in relation to the Mental Capacity Act. Mental capacity assessments were carried out where needed, to establish if people making decisions affecting their lives had the capacity to do so. Decisions for people identified as lacking capacity to make certain decisions were taken following a best interest process. Where this was the case, it was clearly identified in people's care plans.